TrueCare
Internal Candidates Only--Billing Service Representative--
Administration - San Marcos, CA - Full Time
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At TrueCare, we believe that everyone deserves access to excellent healthcare. For over 50 years we have been helping patients and families have timely, affordable, and expert healthcare. Joining us is just a click away. Health inside. Welcome in.
Your Role & Impact
Under the direction of the Patient Financial Services Manager, the Billing Service Representative is responsible for maintaining the daily customer service and administrative support for the Patient Financial Services Department. Responsible for answering the phones and confirming the patient identity, demographic information, and account information. The Billing Service Representative will assist patients with billing questions, collect payment, may need to verify insurance eligibility or re-bill the services to the correct insurance plan. Additional responsibilities include mailing out claims, opening the mail and distributing mail to the team, review self-pay accounts and assist with special projects.
•Responsible primarily for collecting on self-pay past due accounts.
•Perform patient account balance verifications, making payment arrangements, if necessary, on walk-in, telephone calls or mail-in requests and inter office billing corrections inquires.
•Making account corrections by voiding and re-keying to correct payer.
•Check eligibility via phone or internet.
•Review NSF checks report from accounting.
•Apply Sliding Fee Discount Program (SFDP) discounts as necessary. Ensure Declaration of income documentation has been captured.
•Provide customer service internally and externally with professionalism, courtesy, knowledge, and follow through.
•Function at highest level according to eligibility competency.
•Meets daily productivity standards.
•Maintain required billing records, audit reports, files, etc., consistent with compliance guidelines.
•Maintain strictest confidentiality; adhere to all Health Insurance Portability and Accountability Act (HIPAA) guidelines/regulations.
What We’re Looking For
•Minimum of 1 year work experience in similar or related position.
•Medical Receptionist experience in a medical office, preferably handling insurance eligibility.
•Must have a general understanding of medical office procedures, billing insurance carriers including Medicare and Medicaid.
•Must have experience working with an electronic health record system; preferably Epic.
•Candidate must have excellent communication and organizational skills and working in a healthcare setting with a basic understanding of the revenue cycle process.
•Multiple specialty and/or FQHC/community clinic environment experience a plus.
•A well-rounded understanding of insurance eligibility processes and coverage guidelines for multiple carriers.
•Bilingual – English/Spanish
We’re a mission-driven healthcare organization committed to making quality care accessible for everyone. Here, you’ll have the opportunity to:
- Provide services that truly impact the community
- Grow professionally through training and development opportunities
- Work with a collaborative, supportive team
- Competitive pay
- Generous paid time off
- Low-cost health, dental, vision & life insurance
Pay transparency: If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.
TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here.
